Women's and men's health through the prism of the International Federation of Gynaecology and Obstetrics 2023 recommendations. A new insight into the microbiome and intimate hygiene
Apolikhina I.A., Teterina T.A., Tarnaeva L.A., Bartous K.A.H.
The World Congress of the International Federation of Gynaecology and Obstetrics (FIGO) which took place in Paris from October 9 to 12, 2023, brought together representatives from more than 130 countries. The Congress presented new methods for the detection and treatment of cervical cancer, recommendations on strategies for its screening and prevention, the relationship of hormonal contraception with cancer, new data on the human microbiome and reproductive function, male and female contraception, extreme conditions in obstetric and gynaecological practice, as well as aesthetic gynaecology. The issue of the microbiome of the genital tract was of considerable importance in many sections. The unique data from the Isala project and the International Research on Microbiota were presented: they demonstrated the importance of informing both doctors and women about the health state and microbiota of the vagina and vulva. As part of the project, a map of the female microbiome was made, and the importance of lactobacilli in the diagnosis and treatment of various diseases was revealed. The influence of lifestyle and environment on the composition of the vaginal microbiota was also determined. The research aims to raise awareness about the microbiome and overcome taboos in women’s health. The obtained results became the basis for further research and development of methods for the prevention of disorders of the vaginal microbiota. There was a discussion of important aspects of female intimate hygiene including the prevention of vulvovaginal infections. The line of Saforel products for intimate hygiene was presented at the congress exhibition; these products were shown to be effective and safe for maintaining healthy intimate hygiene due to the properties of burdock, which is a component of the products.
Conclusion: Most women with diseases and symptoms of discomfort in the vulva (for example, contact dermatitis, vulvovaginitis) need advice on vulvar skin care and how to avoid contact irritants. The role of an obstetrician-gynecologist and dermatologist-venereologist is important in providing information on the principles of proper intimate hygiene and the basics of preserving and maintaining the microbiota of the vulva and vagina in balance. The clinical experience of using the new line of Saforel products has demonstrated optimal properties and safety for female intimate hygiene, as well as for vulvar dermatoses.
Authors’ contributions: Apolikhina I.A. – developing the concept and design of the study, editing; Teterina T.A., Tarnaeva L.A., Bartous K.A.H. – preparing the material, writing the text.
Conflicts of interest: Authors declare lack of the possible conflicts of interests.
Funding: The study was conducted without sponsorship.
Ethical Approval: The study was reviewed and approved by the Research Ethics Committee of the V.I. Kulakov NMRC for OG&P, Ministry of Health of Russia.
Patient Consent for Publication: The patient provided informed consent for the publication of her data and associated images.
For citation: Apolikhina I.A., Teterina T.A., Tarnaeva L.A., Bartous K.A.H.
Women's and men's health through the prism of the International Federation of Gynaecology and Obstetrics 2023 recommendations. A new insight into the microbiome and intimate hygiene.
Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (12): 158-166 (in Russian)
https://dx.doi.org/10.18565/aig.2023.290
Keywords
References
- Abstracts of the XXIV FIGO World Congress of Gynecology & Obstetrics. Int. J. Gynaecol. Obstet. 2023; 163 Suppl 1: 38-512. doi: 10.1002/ijgo.15056.
- Lebeer S., Ahannach S., Gehrmann T. et al. A citizen-science-enabled catalogue of the vaginal microbiome and associated factors. Nat. Microbiol. 2023; 8: 2183-95. https://dx.doi.org/10.1038/s41564-023-01500-0
- Donders G.G.G., Bellen G., Grinceviciene S., Ruban K., Vieira-Baptista P. Aerobic vaginitis: no longer a stranger. Res. Microbiol. 2017; 168(9-10): 845-58. https://dx.doi.org/10.1016/j.resmic.2017.04.004.
- International Microbiota Observatory. 1st edition of the International Microbiota Observatory. What women know (and don’t know) about their vaginal microbiota. Report; October, 2023.
- Резолюция Совета экспертов в области акушерства-гинекологии, дерматовенерологии, гастроэнтерологии и микробиологии «Принципы интимной гигиены у здоровых женщин и при заболеваниях вульвы». Акушерство и гинекология. 2023; 8: 229-34. [Resolution of the Council of Experts in obstetrics-gynecology, dermatovenerology, gastroenterology and microbiology «Principles of intimate hygiene in healthy women and in vulvar diseases». Obstetrics and Gynecology. 2023; (8): 229-34. (in Russian)]. https://dx.doi.org/10.18565/aig.2023.8.229-234.
- de Souza A.R.C., de Oliveira T.L., Fontana P.D., Carneiro M.C., Corazza M.L., de Messias Reason I.J., Bavia L. Phytochemicals and biological activities of Burdock (Arctium lappa L.) extracts: a review. Chem. Biodivers. 2022; 19(11): e202200615. https://dx.doi.org/10.1002/cbdv.202200615.
- Yosri N., Alsharif S.M., Xiao J., Musharraf S.G., Zhao C., Saeed A. et al. Arctium lappa (Burdock): Insights from ethnopharmacology potential, chemical constituents, clinical studies, pharmacological utility and nanomedicine. Biomed. Pharmacother. 2023; 158: 114104. https://dx.doi.org/10.1016/j.biopha.2022.114104.
- Миханошина Н.В., Припутневич Т.В., Байрамова Г.Р. Роль Lactobacillus iners и ассоциированных с бактериальным вагинозом микроорганизмов в формировании микробиоты влагалища. Акушерство и гинекология. 2023; 1: 20-6. [Mikhanoshina N.V., Priputnevich T.V., Bairamova G.R. The role of Lactobacillus iners and bacterial vaginosis-associated microorganisms in making up the vaginal microbiota. Akusherstvo i Ginekologiya/Obstetrics and Gynecology. 2023; (1): 20-6 (in Russian)]. https://dx.doi.org/10.18565/aig.2022.246
- Holdcroft A.M., Ireland D.J., Payne M.S. The vaginal microbiome in health and disease-what role do common intimate hygiene practices play? Microorganisms. 2023; 11(2): 298. https://dx.doi.org/10.3390/microorganisms11020298.
- Royal College of Obstetricians and Gynaecologists. Vulval skin disorders, Management (Green-top Guideline No. 58). https://www.rcog.org.uk/guidance/browse-all-guidance/green-top-guidelines/vulval-skin-disorders-management-green-top-guideline-no-58/
- Arab H., Almadani L., Tahlak M., Chawla M., Ashouri M., Tehranian A. et al. The Middle East and Central Asia guidelines on female genital hygiene. BMJ Middle East. 2011; (19): 99-106.
Received 12.12.2023
Accepted 18.12.2023
About the Authors
Inna A. Apolikhina, Dr. Med. Sci., Professor, Head of the Department of Aesthetic gynecology and Rehabilitation, V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia; Professor of the Department of Obstetrics, Gynecology, Perinatology, and Reproductology, Institute of Professional Education, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), i_apolikhina@oparina4.ru,https://orcid.org/0000-0002-4581-6295, 117997, Russia, Moscow, Ac. Oparin str., 4.
Tatiana A. Teterina, Ph.D., obstetrician-gynecologist, Department of Aesthetic Gynecology and Rehabilitation, V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, +7(963)961-67-44, palpebra@inbox.ru, https://orcid.org/0000-0003-0990-2302,
117997, Russia, Moscow, Ac. Oparin str., 4.
Liana A. Tarnaeva, resident, V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, +7(915)112-77-52, li.tarnaeva@ya.ru, 117997, Russia, Moscow, Ac. Oparin str., 4.
Bartous Kerlous Adolf Helmy, resident, I.M. Sechenov First Moscow State Medical University, Ministry of Health of Russia (Sechenov University), 119991, Russia, Moscow, Trubetskaya str., 8-2; V.I. Kulakov National Medical Research Center for Obstetrics, Gynecology and Perinatology, Ministry of Health of Russia, 117997, Russia, Moscow,
Ac. Oparin str., 4, kerlous.adolf@yandex.ru, https://orcid.org/0009-0004-4195-3008
Corresponding author: Tatiana A. Teterina, palpebra@inbox.ru